DOMININQUE LEA CORELLAS (NPI# 1942823760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942823760 |
| Entity Type | Individual |
| Full Name | DOMININQUE LEA CORELLAS |
| Practice Address |
445 3rd Ave Sw Albany OR 97321-2272 |
| Mailing Address |
Po Box 100 Albany OR 97321-0031 |
| Practice Telephone | 5419673866 |
| Mailing Telephone | 5419673866 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
445 3RD AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275626251 | Carol N Berlin | Social Worker | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2006-10-02 |
| 1336785492 | Stephanie Galford | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2019-11-25 |
| 1215578646 | Cheyenne Brook Morales | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2019-10-07 |
| 1255811329 | Marcella Renee Elliott | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2018-08-18 |
| 1942709613 | Brian Joseph Moore | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2018-02-07 |
| 1801317078 | Dana Mcglohn | Registered Nurse | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-06-28 |
| 1972036150 | Laura Harkins | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-04-05 |
| 1275071425 | Casey Elise Hough | Counselor | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-02-08 |
| 1023554714 | Christopher Michael Schwarz | Case Manager/Care Coordinator | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2017-01-18 |
| 1760925481 | County of Linn | Community/Behavioral Health | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2016-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373688 | David Wayne Cass Jr. | Counselor | 200 Jay St, Albany, NY 12210-1808 | 2020-10-13 |
| 1447861893 | Hannah Elizabeth Brooker | Counselor | 688 Myrtle Ave Apt 1, Albany, NY 12208-3331 | 2020-08-10 |
| 1679195796 | Allester Henry | Counselor | 307 Cortland St, Albany, NY 12208-2106 | 2020-05-12 |
| 1962042812 | Be Epic Counseling Services, LLC | Counselor | 323 Pine Ave Ste 114, Albany, GA 31701-2575 | 2020-01-08 |
| 1821636713 | Schae Premdas-auffant | Counselor | 4 Palisades Dr Ste 205, Albany, NY 12205-1449 | 2019-12-11 |
| 1962047282 | John N Kane | Counselor | 443 State St, Albany, NY 12203-1003 | 2019-11-11 |
| 1063054021 | Melissa A Kovelman | Counselor | 10 Barnet St, Albany, NY 12208-2402 | 2019-10-11 |
| 1841853660 | Tanya M Henderson | Counselor | 90 S Swan St Ste 303, Albany, NY 12210-2105 | 2019-04-17 |
| 1861055717 | Nikita Williams | Counselor | 422 Sand Creek Rd Apt 201, Albany, NY 12205-2722 | 2019-04-16 |
| 1013473065 | Joa Paige Riboul | Counselor | 31 Criswood Dr, Albany, NY 12205-1828 | 2019-02-14 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.